Healthcare Provider Details

I. General information

NPI: 1619446580
Provider Name (Legal Business Name): UNIVERSITY HEALTHCARE SYSTEM, L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2018
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 S I 10 SERVICE RD W STE 1201
METAIRIE LA
70001-1210
US

IV. Provider business mailing address

4700 S I 10 SERVICE RD W STE 1.7
METAIRIE LA
70001-1210
US

V. Phone/Fax

Practice location:
  • Phone: 504-577-2278
  • Fax: 504-267-1880
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: GREGORY A NIELSEN
Title or Position: PRESIDENT & CHIEF EXECUTIVE OFFICER
Credential:
Phone: 504-503-4006